Mrs. Cheng has an upper flipper to replace four missing molars (Fig.1 F).  Due to loss of posterior support, the tooth #8 has shifted distobuccally (Fig.2 arrow) as well as incisally.  She requests implant treatment for cosmetics.  When an immediate provisional is fabricated to correct shifting, it will most likely contact the flipper.  Providing clearance (Fig.1,8 arrowheads) is critical.

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Xin Wei, DDS, PhD, MS 1st edition 03/10/2016, last revision 01/09/2019